Tooth moving method and appliance

ABSTRACT

In a tooth moving method and appliance for securing a space for an incoming permanent tooth to erupt, there are provided two lingual buttons to be fixed to two teeth, respectively, to spread out a space therebetween or correct a dentition therebetween; an inner wire to be pivotally connected to one lingual button at an end thereof; a tube to be loosely fitted onto the inner wire and pivotally connected to the other lingual button at an end thereof; an open coil loosely fitted onto the tube; and a split stop for adjusting tensile force of the open coil, whereby tensile force of the open coil is adjusted by the split stop to move at least either of the two teeth, so as to spread out the space therebetween to a desired extent.

BACKGROUND OF THE INVENTION

[0001] 1. Field of the Invention

[0002] The present invention relates to a tooth moving method and to a tooth moving appliance in an orthodontic clinic and the like.

[0003] 2. Prior Art of the Invention

[0004] For example, when a primary dentition is missed early, the teeth on both sides thereof move into the missing tooth space, resulting in narrowing or occupying the space for an incoming permanent tooth to erupt.

[0005] As a result of this, the incoming permanent tooth is hindered from erupting from right place to cause disarrangement of the dentition, thus not only spoiling the occlusion but also adversely affecting the facial appearance.

[0006] To avoid this problem, when a primary dentition is missed early, a method using a molar distal moving appliance (stationary type), which is generally called “GMD (Greenfield Molar Distalizar), is generally used to secure the space for the incoming permanent tooth to erupt.

[0007] This known molar distal moving appliance comprises, as shown in FIGS. 15-17, two seamless bands 120 to be fitted onto the teeth 102, 102, respectively, to spread out the space therebetween; two inner wires 107 whose ends are soldered to one of the bands 120 on the buccal side thereof and on the lingual side thereof, respectively; two tubes 108 which are loosely fitted onto the inner wires 107 and whose ends are soldered to the other seamless band 120 on the buccal side thereof and on the lingual side thereof, respectively; and open coils 109 loosely fitted onto the tubes 108, respectively, wherein tensile force of the open coils 109 is adjusted by means of split stops 110 to move at least either of the two teeth, so as to spread out the space to a desired extent or correct the dentition.

[0008] However, because of its configuration that the inner wires and the tubes are firmly fixed to the both seamless bands by soldering their ends to the buccal side of the seamless bands and on the lingual side of the same, this conventional type of molar distal moving appliance has the problem of taking much space in the mouth to make a patient who fits the appliance on the teeth much uncomfortable or cause the patient pain.

[0009] Further, since the seamless bands must be accurately designed and made to fit onto each tooth of each individual patient, it is infeasible to make a stock production. For this reason, the conventional molar distal moving appliance is obliged to be made painstakingly piece by piece, requiring experience and skill and taking lots of time and labor, thus leading to the disadvantage of increase in manufacturing costs.

[0010] Besides, the conventional molar distal moving appliance requires a high level of soldering technique for soldering the ends of the inner wires and tubes to the seamless bands and also requires an expensive soldering device used therefor, thus involving the problem of increasing initial costs and running costs.

[0011] Moreover, since the ends of the inner wires and tubes are firmly soldered to the seamless bands fitted on the teeth, a moving direction of the seamless bands is limited to the direction for the inner wires and the tubes to be slid.

[0012] This causes the problem that when the conventional molar distal moving appliance is used, with its seamless bands fitted on the related teeth, a complicated and precise adjustment must be made repeatedly.

[0013] As mentioned above, in the conventional molar distal moving appliance, the ends of the inner wires and tubes are firmly soldered to the seamless bands and, consequently, the moving direction of the seamless bands is limited to the direction for the inner wires and the tubes to be slid. This causes the problem that it is almost impossible to move an obliquely erupting tooth by using the conventional molar distal moving appliance.

[0014] Further, the conventional molar distal moving appliance has the fatal problem that there is the possibility that the seamless bands themselves cannot be fitted onto the obliquely erupting teeth, depending on the degree of inclination of the tooth and the degree of eruption of the tooth.

SUMMARY OF THE INVENTION

[0015] In the light of the problems mentioned above, the present invention has been made. It is the object of the present invention to provide a tooth moving method and appliance that is simple and less bulky in itself, easy to be fitted on the teeth, less burdensome for the patience, and can cut down initial costs and running costs.

[0016] To accomplish the object noted above, the present invention provide a tooth moving method wherein two lingual buttons are fixed to two teeth, respectively, to spread out a space therebetween or correct a dentition therebetween; an inner wire is pivotally connected to one of the two lingual buttons at an end thereof; a tube loosely fitted onto the inner wire is pivotally connected to the other lingual button at an end thereof; and an open coil is loosely fitted onto the tube, whereby a tensile force of the open coil is adjusted by a split stop to move at least either of the two teeth, so as to spread out the space therebetween to a desired extent.

[0017] In the tooth moving method, the end of the inner wire connected to its related lingual button and the end of the tube connected to its related lingual button are formed into a U-shape or a ring-like shape; are fitted onto necks of their respective lingual buttons; and then are deformed to catch the necks in, so as to be connected to their respective lingual buttons.

[0018] Also, the present invention provides a tooth moving appliance comprising two lingual buttons to be fixed to two teeth, respectively, to spread out a space therebetween to a desired extent or correct a dentition therebetween; and space-spreading biasing means to be mounted between the two lingual buttons, the space-spreading biasing means comprising an inner wire to be pivotally connected to one lingual button at an end thereof; a tube to be loosely fitted onto the inner wire and pivotally connected to the other lingual button at an end thereof; an open coil loosely fitted onto the tube; and a split stop for adjusting tensile force of the open coil.

[0019] In the tooth moving appliance, the end of the inner wire connected to its related lingual button and the end of the tube connected to its related lingual button are formed into a U-shape or a ring-like shape so that after fitted onto necks of their respective lingual buttons, the end of the inner wire and the end of the tube can be deformed to catch their respective necks in.

[0020] Accordingly, the present invention can provide the advantage of making the entire tooth moving appliance simple and less bulky to minimize uncomfortable feeling or pain of a patient who fits the appliance in the teeth, in comparison with the conventional molar distal moving appliance having the configuration that the inner wires and the tubes are fixed to the seamless bands, with their ends soldered to the seamless bands fitted on the teeth on the buccal side and on the lingual side, respectively. Further, according to the present invention, since the fitting of the tooth moving appliance onto the teeth can be practiced with ease in the place of dental treatment, the components of the appliance can be produced in advance in large quantities. This can provide an additional advantage that the manufacturing costs can be cut down drastically, differently from the conventional appliance that must be made painstakingly piece by piece, requiring experience and skill and taking lots of time and labor.

[0021] Moreover, according to the present invention, the connecting portions at which the inner wire and the tube are connected to their respective lingual buttons fixed to the teeth preserve such a certain degree of freedom of movement as to allow the inner wire and the tube to move toward the buccal side and the lingual side at the connecting portions. This can present comfortableness and fitness for the movement of each tooth of each individual patience and accordingly can allow the teeth to be always biased in the direction for the teeth to be apart from each other, without complicated and precise adjustments and the like. This can provide the further advantage of providing enhanced dental treatment efficiency.

BRIEF DESCRIPTION OF THE DRAWINGS

[0022]FIG. 1 is a front view of a tooth moving appliance according to the present invention;

[0023]FIG. 2 is a view showing components of the tooth moving appliance according to the present invention;

[0024]FIG. 3 is a development in the producing stage of parts of the tooth moving appliance according to the present invention;

[0025]FIG. 4 is a perspective view of a lingual button of the tooth moving appliance according to the present invention;

[0026]FIG. 5 illustrates fabrication processes of an inner wire of the tooth moving appliance according to the present invention;

[0027]FIG. 6 is a perspective view showing the connection of the inner wire to the lingual button of the tooth moving appliance according to the present invention;

[0028]FIG. 7 illustrates fabrication processes of a tube of the tooth moving appliance according to the present invention;

[0029]FIG. 8 illustrates fabrication processes of the tube of the tooth moving appliance according to the present invention;

[0030]FIG. 9 illustrates fabrication processes of the tube of the tooth moving appliance according to the present invention;

[0031]FIG. 10 is a perspective view of the inner wire and tube connected to their respective lingual buttons of the tooth moving appliance according to the present invention;

[0032]FIG. 11 is a drawing of a split stop of the tooth moving appliance according to the present invention;

[0033]FIG. 12 illustrates the procedures of the use of the tooth moving appliance according to the present invention as viewed from the side;

[0034]FIG. 13 is a front view of the tooth moving appliance according to the present invention which is in the fitted state;

[0035]FIG. 14 is a diagram of a variant of the inner wire and tube to be connected to their respective lingual buttons of the tooth moving appliance according to the present invention;

[0036]FIG. 15 is a front view of a tooth moving appliance according to a prior art;

[0037]FIG. 16 is a side view of the tooth moving appliance according to the prior art which is in the fitted state; and

[0038]FIG. 17 is a front view of the tooth moving appliance according to the prior art which is in the fitted state.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0039] In the following, certain preferred embodiments of the present invention will be described with reference to the accompanying drawings.

[0040] A tooth moving appliance 1 comprises two lingual buttons 3, 3 to be fixed to two teeth 2, 2 for spreading out the space therebetween or correcting the dentition therebetween and space-spreading biasing means 4 mounted between the two lingual buttons 3, 3, as illustrated in FIG. 12.

[0041] The lingual buttons 3 are formed of rust-resistant metal such as stainless steel. Each lingual button 3 is formed to have in the bottom a stick-on surface 5 to be stuck on a tooth surface 2 a of the tooth 2 and a neck 6 constricted at a portion thereof above the stick-on surface 5, as shown in FIG. 4.

[0042] The space-spreading biasing means 4 comprises an inner wire 7 to be pivotally connected to the neck 6 of one lingual button 3 at one end 7 a thereof; a tube 8 to be loosely fitted onto the inner wire 7 and pivotally connected to the neck 6 of the other lingual button 3 at an end 8 a thereof; an open coil 9 to be loosely fitted onto the tube 8; and a split stop 10 for adjusting tensile force of the open coil 9.

[0043] The inner wire 7 has a hook-shaped tip which is formed by turning at an angle of a nearly 360 degree a light wire plier 11 gripping a tip portion of a rust-resistant metal wire, such as stainless steel, of e.g. 0.7 mm in diameter. The hook-shaped tip of the inner wire 7 is fitted onto the neck 6 of the lingual button 3 from above and then is caulked by using an arch forming plier 12 to close the opening of the hook-shaped tip, as shown in FIGS. 5(a), (b).

[0044] After this manner, the tip 7 a of the inner wire 7 is connected to the neck 6 of the lingual button 3, while preserving a certain degree of freedom of movement (See FIG. 6).

[0045] The tube 8 is produced in the following manner in the illustrated embodiment. First, a stainless steel tube having an inner diameter of 0.036 inch (about 0.9144 mm) (available from Ortho Dentrum, Item No. 480-009) is cut to a length of 17 mm, as shown in FIG. 7(a). Then, an end portion 8 a of the tube 8 on the side connected to the lingual button 3 is flattened to within 3 mm from the tip by using a lingual bar bending plier 12 and the like, to form a flattened portion 13 (See FIG. 7(b)).

[0046] Then, the flattened portion 13 is slit up by using a disc cutter 14 and the like, to form a lengthwise slit 15 of a length of about 2.5 mm (See FIG. 7(c)), and, then, the end portion 8 a thus slit up at 15 is spread out in a Y-shape by using the light wire plier 11 (See FIGS. 8(b), (c)).

[0047] The end portion 8 a thus spread out in Y-shape is curved into a C-shape having an opening at the top by using a loop forming plier 16, as shown in FIGS. 9(a),(b).

[0048] Thereafter, the end portion 8 a of the tube 8 thus C-shaped is fitted onto the neck 6 of the lingual button 3 and the opening of the C-shaped end portion 8 a is closed by using the arch forming plier 12, as shown in FIG. 9(c). After this manner, the end portion 8 a of the tube 8 is connected to the neck 6 of the lingual button 3, while preserving a certain degree of freedom of movement, as shown in FIG. 10.

[0049] The open coil 9 is formed of a rust-resistant metal wire having elasticity, such as nickel titanium, and is formed into a coiled form having a length corresponding to the length of a tubular portion of the tube 8 loosely fitted onto the inner wire 7 (in this case, the difference of about 14 mm when about 3 mm of the length of the end portion 8 a is subtracted from 17 mm of the total length of the tube 8).

[0050] The split stop 10 for adjusting the tensile force of the open coil 9 is formed as follows. First, a stainless steel tube having an inner diameter of 1.8 mm (available from Tomy Inc., Item No. 229-39) is slit up by using the disc cutter 14, to form a slit 20, as shown in FIG. 11. Then, the stainless steel tube thus slit up is cut in round slices of about 2 mm in width and then is spread out with its slit ends at 20 wide apart so as to fit onto the tubular portion of the tube 8.

[0051] Now, the procedure to move the teeth 2, 2 by using the tooth moving appliance 1 thus formed will be described.

[0052] First, the stick-on surface 5 of the lingual button 3 connected with the inner wire 7 is adhesive bonded to the tooth surface 2 a of one of the two teeth 2, 2 positioned on both sides of the missing tooth space produced when a primary dentition is missed early, to be fixed thereon, as shown in FIG. 12(a).

[0053] Then, the inner wire 7 is inserted into the tubular portion of the tube 8 loosely fitted in advance in the open coil 9 and, thereafter, the lingual button 3 of the tube 8 is adhesive bonded to the tooth surface of the other tooth to be fixed thereon (See FIG. 12(b)).

[0054] Then, the open coil 9 is compressed by pressing it toward the lingual button 3 of the inner wire 7 by using a pressing tool 17, to expose a part of the tubular portion of the tube 8, as shown in FIG. 12(c). Then, the split stop 10 is fitted onto the exposed part of the tubular portion of the tube 8 and, then, is caulked with the plier 18 to be fixed thereto, as shown in FIG. 12(d). Thereafter, the open coil 9 compressed with the pressing tool 17 is returned to its original position.

[0055] When two tooth moving appliances 1 are fitted on the tooth surface on the buccal side and the tooth surface on the lingual side of the two teeth 2, 2 positioned on both sides of the missing tooth space produced when a primary dentition is missed early, respectively, the both teeth 2, 2 are pressed with a predetermined pressure in the direction in which they are apart from each other via the elastic force of the open coil 9 preset by the split stop 10 (See FIG. 13).

[0056] It is to be noted in this connection that the initial setting of the pressing force acting in the direction for the both teeth 2, 2 to be apart from each other and the change of the preset pressing force in the process of dental treatments can be made by changing or adjusting the number of split stops 10 and the width thereof.

[0057] According to the present invention, the inner wire 7 and the tube 8 of the tooth moving appliance 1 are connected to the necks 6 of the lingual buttons 3, respectively, while preserving certain degree of freedom of movement. This can provide the advantage that for example when a moving tooth 2 is observed to get closer to the lingual side, adjustment in space spreading rate and adjustment or correction in dentition correcting direction can be made with ease by simply enhancing the elastic force of the open coil 9 by using an increased number of split stops 10 or a wider split stop 10 for the tooth moving appliance 1 on the lingual side.

[0058] While the preferred embodiment of the present invention has been illustrated above, it will be understood that the present invention should not be limited to the embodiment illustrated above and various changes and modifications in design may be made in the invention within the scope of the claims.

[0059] For example, while in the illustrated embodiment, the connecting portion of the inner wire 7 to the lingual button 3 and the connecting portion of the tube 8 to the lingual button 3 are formed into the hook-shaped and the C-shape having the opening at the top, respectively, those connecting portions may, of course, be formed into any suitable form without limiting to those forms. For instance, those connecting portions may be formed into a circular form or an oval form, or a polygonal ring-like form and deformed by caulking so as to be connected to the neck 6 of the lingual button 3, as shown in FIG. 14.

[0060] Also, the inner wire 7 may, of course, be formed by a hollow wire without limiting to the solid wire. 

What is claimed is:
 1. A tooth moving method wherein two lingual buttons are fixed to two teeth, respectively, to spread out a space therebetween or correct a dentition therebetween; an inner wire is pivotally connected to one of the two lingual buttons at an end thereof; a tube loosely fitted onto the inner wire is pivotally connected to the other lingual button at an end thereof; and an open coil is loosely fitted onto the tube, whereby a tensile force of the open coil is adjusted by a split stop to move at least either of the two teeth, so as to spread out the space therebetween to a desired extent.
 2. The tooth moving method according to claim 1, wherein the end of the inner wire connected to its related lingual button and the end of the tube connected to its related lingual button are formed into a U-shape or a ring-like shape; are fitted onto necks of their respective lingual buttons; and then are deformed to catch the necks in, so as to be connected to their respective lingual buttons.
 3. A tooth moving appliance comprising two lingual buttons to be fixed to two teeth, respectively, to spread out a space therebetween or correct a dentition therebetween; and space-spreading biasing means to be mounted between the two lingual buttons, the space-spreading biasing means comprising an inner wire to be pivotally connected to one lingual button at an end thereof; a tube to be loosely fitted onto the inner wire and pivotally connected to the other lingual button at an end thereof; an open coil loosely fitted onto the tube; and a split stop for adjusting tensile force of the open coil.
 4. The tooth moving appliance according to claim 3, wherein the end of the inner wire connected to its related lingual button and the end of the tube connected to its related lingual button are formed into a U-shape or a ring-like shape so that after fitted onto necks of their respective lingual buttons, the end of the inner wire and the end of the tube can be deformed to catch their related necks in. 